• Title/Summary/Keyword: 자가간호 행위

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Relationship of Academic Stress, Ego-resilience and Health Promoting Behaviors in Nursing Students (일 대학 간호대학생의 학업스트레스, 자아탄력성과 건강증진행위와의 관계)

  • Park, Ji Hyun;Kim, Eun Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.9
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    • pp.193-202
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    • 2017
  • This study was conducted to investigate the levels of academic stress, ego-resilience, and health promoting behaviors of nursing students, and to examine the relationship between these variables. The participants were 208 nursing students(freshman/sophomore). Data were collected from April 3 to April 21, 2017 by self-administered questionnaires. Data were analyzed using the SPSS WIN 19.0 program(SPSS Inc., Chicago, IL, USA). The results of this study were as follows: the mean academic stress score was $3.17{\pm}0.55$, ego-resilience was $2.70{\pm}0.38$, and health promoting behaviors was $2.47{\pm}0.32$. There were significant differences in health promoting behaviors based on residence status, satisfaction with major, satisfaction with school life and health status. There was a negative correlation between health promoting behaviors and academic stress(r=-0.36, p=0.000), while there was a positive correlation between health promoting behaviors and ego-resilience(r=0.60, p=0.000). Variables such as ego-resilience, academic stress, satisfaction with school life, residence status, health status and satisfaction with major explained 43.3% of the variance in health promoting behaviors. Based on these results, it is necessaryto develop interventions and programs to reduce academic stress and increase ego-resilience to improve health promotion in nursing students.

Factors Affecting the Frequency of Breast self-examination in Korean Immigrant Middle-aged Women in the U.S. (미국 이민 한국 중년 여성의 유방자가검진 빈도에 영향을 미치는 요인)

  • Choi, Yeon-Hee
    • Research in Community and Public Health Nursing
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    • v.11 no.2
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    • pp.606-612
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    • 2000
  • 본 연구의 목적은 유방자가검진(BSE)의 지식정도, 훈련도, 숙련도 및 빈도와의 관계를 파악하고, BSE 빈도를 가장 잘 예측하는 변수를 결정하기 위함이다. 연구대상자는 미국에 이민 온 40세-60세 사이의 중년 여성 58명으로 와싱톤주의 시애틀과 타코마 지역에 거주하고 있었다. 연구도구는 미국암협회의 BSE 안내책자를 기초로 하여 개발하였다. 자료는 자가보고형 질문지를 이용하여 한국교회 4곳으로부터 연구의 취지를 설명하고 연구대상자들의 연구동의를 얻은 후 우편으로 질문지를 회수하였다. 자료수집 기간은 2000년 3월 6일부터 2000년 5월13일이었으며. 질문지 회수율은 77%이었다. 수집된 자료는 SPSS를 이용하여 Frequency, Percentage, Pearson correlation, Regression analysis로 분석하였다. 연구 결과는 주요 변수사이의 관련성에서 그 이전연구 결과와 대개 일치하였다. 대상자의 BSE 빈도는 년간 10회-12회 실행이 21.08%이였고, 전혀 실행하지 않는 정도가 4.80%를 차지했다. BSE 빈도와 관련변수와의 상관관계에서 나이는 BSE 빈도와 역상관 관계(r=-.289, p=.038)를 나타냈고, BSE 훈련에 대한 지도(r=0521, p=.000). BSE 지식에 대한 기술(r=.573, p=.000) 및 BSE 숙련도(R=.694 P=.000)는 BSE 빈도와 정상관 관계를 보였다. 회귀분석 결과는 BSE 빈도의 가장 유의한 예측변수로서 BSE 지식에 대한 기술(beta=.5813. p=.003)로 지지되었다. 이 연구의 의의는 지역사회간호사가 이민 온 한국 중년여성들의 BSE실행에 대한 이해를 높임으로 유방암의 조기발견에 대한 예방적 행위를 증진시키는 데 유용한 기초 자료로 제공될 것이다.

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Effectiveness of a Self-management Program using Goal Setting based on a G-AP for Patients after a Stroke (뇌졸중 환자를 위한 G-AP 기반 목표설정 자기관리프로그램의 효과)

  • Park, Min Gyeong;Ha, Yeongmi
    • Journal of Korean Academy of Nursing
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    • v.44 no.5
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    • pp.581-591
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    • 2014
  • Purpose: This study was conducted to develop a self-management program using goal setting for patients after a stroke. The program was based on a theory-based Goal setting and Action Planning framework (G-AP), and the effectiveness of the program was examined. Methods: A non-equivalent control group pretest-posttest design was used. The experimental group (n=30) received the self-management program using goal setting based on the G-AP over 7 weeks. The education was delivered individually with a specifically designed stroke workbook. The control group (n=30) received only patient information leaflets about stroke. Results: There were significant differences between the two groups. Stroke knowledge, self-efficacy, and health behavior compliance were significantly higher (all p<.001), and hospital anxiety (p<.001) and depression (p<.001) were significantly lower in the experimental group compared to the control group. Conclusion: This self-management program using goal setting based on a G-AP was found to be useful and beneficial for patients in stroke rehabilitation settings.

Factors Influencing the Self-management Behaviors of the Elderly with Hypertension in the Local Community (지역사회 거주 고혈압 노인의 자가관리행위 영향요인)

  • Hong, Jeongju
    • Research in Community and Public Health Nursing
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    • v.32 no.3
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    • pp.303-311
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    • 2021
  • Purpose: This study investigated the health literacy level of, the hypertension knowledge of, the self-management behaviors of, and the factors influencing self-management behaviors of the hypertensive elderly population residing in the urban and rural areas. Methods: Data were collected from November to December 2017 by the trained research staff. For two months, a total of 160 subjects in urban and rural areas who had been taking antihypertensive medications consented to participate in the project. 157 participants completed the survey. Results: The health literacy score of the hypertensive elderly subjects was at 48.38±8.13, the hypertension knowledge score at 8.90±2.01 points, and the self-management behaviors score at 52.96±8.08. The factor that influenced the self-management behaviors of the hypertensive elderly subjects the most was the health literacy, followed by the residential area, and the hypertension knowledge. Conclusion: The research findings suggest that a health promotion program for the hypertensive elderly population should be designed in consideration of the health literacy, the area of residence and the hypertension knowledge of the elderly.

The Body Mass Index(BMI), Body Image Recognition, Weight Control Behavior of Nursing Students (간호학생의 체질량지수와 체형인식도 및 체중조절행위)

  • Kang, Ki-Seon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.8
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    • pp.3492-3499
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    • 2012
  • The purpose of this research was to investigate nursing students' attitude toward body weight control, food behaviors according to their recognition, satisfaction on body image and Body Mass Index(BMI). The subjects were 273 nursing students. A survey was conducted using a self administered questionnaire. The data were an analyzed by a SPSS program. The majority of the surveyed participants were normal range for body mass index(BMI). Most of nursing students preferred a thin body image and were not satisfied with their body image. Most also controlled their body weight for appearance by exercising and the other efforts to change the body weight. From the above results, it is considered that nursing students need to establish proper self-recognition and dietary behaviors for their body images and counseling for desirable body weight control methods.

A Structural Equation Model on Quality of Life in Hemodialysis Patients (혈액투석환자의 삶의 질 구조모형)

  • Kang, Seung-Ja;Seo, Nam-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.7
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    • pp.589-598
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    • 2019
  • This study was conducted to build a structural equation model explaining factors that affect hemodialysis patients' quality of life to test the goodness of fit of the model and identify directly and indirectly significant paths. To accomplish this, 230 patients receiving hemodialysis registered at study hospitals in G Metropolitan City and M City were randomly selected, and 201 were used in the final analysis. Data were collected using a self reporting questionnaire from February 1 to March 31, 2014. SPSS WIN 18.0 was used for descriptive statistics and correlation analysis of the general characteristics and for reliability analysis of the research tools. In addition, AMOS 18.0 was used for confirmatory factor analysis of latent variables, to determine the goodness of fit of the hypothetic model, and hypotheses testing. The results of this study were as follows: the fit of the modified model was 41.32, GFI = .96, AGFI = .92, RMR = .04, NFI = .96, CFI = .91 and TLI = .95. Twelve out of the 22 research hypotheses that were improved and improved were statistically significant. The results indicated that hemodialysis patients' quality of life was influenced directly by self-efficacy, depression, and self-care behavior, and indirectly by sleep disturbance, stress, fatigue, and family support. These variables explained 58.6% of the variation in quality of life. Overall, these findings suggest that nursing interventions for hemodialysis patients require strategies for managing patient depression and for increasing self-efficacy and self-care behavior to improve quality of life.

Self-Care Behavior and Depression in Patients with Heart Failure (심부전 환자의 우울 수준에 따른 자가간호행위)

  • Lee, Haejung;Jang, Jun Hee;Lee, Sung Hwa;Chun, Kook Jin;Kim, Jong Hyun
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.22 no.1
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    • pp.79-86
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    • 2015
  • Purpose: The purpose of this study was to examine levels of self-care behavior according to levels of depression among patients with heart failure (HF). Methods: Participants in this descriptive research were 169 outpatients with HF who being seen in three university hospitals and one general hospital located in B, Y, and D cities. Data were collected using the Korean version of the Center for Epidemiologic Depression Scale and European Heart Failure Self-care Behavior Scale. Data collection period was from April 25, 2012 to September 26, 2013. Data were analyzed using Chi-square tests and ANOVAs with SPSS WIN 21.0. Results: A higher proportion of patients who were female, without a spouse, with lower household income, not employed, and having lower functional status with serious symptoms of HF tended to be clinically depressed. HF patients with depression tended not to report symptom changes to their health care providers. Conclusion: The findings of this study indicate the need to screen for depression in patients with HF and to develop strategies to improve self-care behaviors in these patients in order to promote reporting of symptom changes to health care providers.

The Effect of the Experience of Diabetes Education on Knowledge, Self-Care Behavior and Glycosylated Hemoglobin in Type 2 Diabetic Patients (당뇨교육경험이 제2형 당뇨환자의 지식, 자가간호행위, 당화혈색소에 미치는 영향)

  • Moon, Seung Hei;Lee, Young Whee;Ham, Ok-Kyung;Kim, Soo-Hyun
    • The Journal of Korean Academic Society of Nursing Education
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    • v.20 no.1
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    • pp.81-92
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    • 2014
  • Purpose: This study was to identify the effect of the experience of diabetes education on knowledge, self-care behavior and glycosylated hemoglobin (HbA1C). Further, this study was held to examine about patient's preferred methods of education and re-education frequency. Methods: 166 type 2 diabetes patients from two hospitals in Incheon participated in this study. Data were analyzed by using descriptive analysis, t-test, ANOVA, Scheffe's test and multiple regression analysis. Results: 72.3% patients needed re-education and the average interval of re-education was 8.53 months. Patients preferred education methods were lectures, practical training, and studying from pamphlet. Depending on the frequency of diabetes education, there were significant differences in the level of diabetes knowledge (F=10.88, p<.001) and self-care behaviors (F=4.59, p=.012), but there was not significant difference with HbA1C (F=1.53, p=.220). As to how much the diabetes education helped managing diabetes, there was a significant difference in the level of self-care behaviors (t=2.01, p=.049), but there were not significant differences in level of knowledge (t=1.10, p=.275) and HbA1C (t=-.33, p=.746). The experience of diabetes education was a significant factor which influenced patient's knowledge (t=3.93, p<.001) and self-care behaviors (t=2.21, p<.001). But HbA1C was not influenced by the experience of diabetes education (t=-1.68, p=.096). Conclusion: It is necessary to provide diabetes education with appropriate interval and methods and subjects that reflect the needs of patient through the study results.

Relationship of Knowledge of Cardiac Rehabilitation, Educational Needs, and Self Care in Inpatients with Coronary Artery Disease in China (중국 관상동맥질환자의 심장재활지식, 교육요구도 및 자가간호행위)

  • Lin, Qin Lan;Kim, Hee-Kyung;Lee, Hyun-Ju
    • The Journal of Korean Academic Society of Nursing Education
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    • v.15 no.2
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    • pp.260-273
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    • 2009
  • Purpose: The purpose of this study was to investigate the knowledge of cardiac rehabilitation, educational needs, and self care in inpatients with coronary artery disease in China and to provide basic data for development of cardiac rehabilitation programs. Method: From Jan. 16th to Feb. 26th, 2009, 104 patients with coronary artery disease were hospitalized in general hospitals in K and H city in China. They were interviewed with a structured questionnaire. The data was analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlation analysis. Results: In inpatients with coronary artery disease in China, the score of knowledge of cardiac rehabilitation was average ($66{\pm}.18$), and the score of educational needs was high ($4.27{\pm}.49$). The score of self care was average ($3.12{\pm}.58$). The regular exercise group (p= .005) had a high knowledge of cardiac rehabilitation, the nonsmoking group (p= .022) and regular exercise group (p= .037) did well by themselves. Educational needs also affected the overall knowledge of inpatients with coronary artery disease (r= .288, p= .003). Conclusion: This study suggests that knowledge of cardiac rehabilitation and educational needs should be considered in enhancing cardiac rehabilitation programs designed for inpatients with coronary artery disease in China.

Relationships between Diabetic Knowledge, Self-Care Behaviors and HbA1c in Diabetic Patients using public hospitals (공공병원을 이용하는 당뇨병 환자의 당뇨 지식, 자가간호행위와 당화혈색소의 관계)

  • Lee, Juan;Park, Hyojung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.21 no.3
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    • pp.243-252
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    • 2014
  • Purpose: The purpose of this study was to investigate diabetic knowledge, self-care behaviors, and HbA1c of patients with diabetic mellitus in public hospitals. Methods: Participants were 287 adult patients who had been diagnosed with diabetes in two public hospitals in Seoul. Collected data were analyzed using t-test, ANOVA, Pearson's correlation with the SPSS (PASW) 21.0 program. Results: For general characteristics of the participants, there were significant differences in the level of diabetic knowledge according to age (F=11.28, p<.001), educational level (F=11.07, p<.001), type of health insurance (F=9.38, p<.001), and monthly income (t=-4.58, p<.001) and in the self-care behaviors according to age (F=8.61, p<.001) and in HbA1c according to age (F=6.72, p=.001). As for disease related characteristics of the participants, significant differences were found for self-care behaviors according to education about diabetes (t=3.90, p<.001) and in HbA1c according to education about diabetes (t=3.26, p=.001) and current diabetic therapy methods (F=13.51, p<.001). The study results showed that there was no correlation between diabetic knowledge and self-care behavior, or between self-care behavior and HbA1c. Conclusion: Results indicate that when developing preliminary data on nursing intervention education programs on diabetes, increasing diabetic knowledge and self-care behaviors would help to improve blood glucose levels.